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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
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Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
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Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
We are Brian and Breanne Stuart, parents to two boys and owners of Homewatch CareGivers of Ann Arbor, serving Washtenaw and Livingston counties. We have a deep passion for caring and serving others and feel blessed that...
Care Pros at Home is the most reliable and trustworthy Home Health Care Service service in Oakland, and Genesee counties — providing excellent home care solutions to loved ones who are dealing with injury or illness. We...
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Angels at Home Care - Farmington Hills is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SYNERGY HomeCare of Northville - Livonia, MI is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
Carter’s Caring Services is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kevin Manuel and Greg Hines are the owners of Amada Senior Care in Farmington Hills, and they have hand-picked each of the caregivers on their team to ensure that each of our clients receives the highest level of...
At Delicate Hands Home Care, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each...
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Prime Homecare Agency, L L C is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alliance Senior Care gives assistance to seniors who wish to remain at home and live independently. Our personalized and affordable services are available 7 days a week and can range from a few hours per day to 24 hour...
Mercy Amicare Home Healthcare is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home Detroit Metro is Proud to Provide In-home Care for Clinton Township Trusted Home Care Home Care services provided by Right at Home Detroit Metro are a way to meet the needs of seniors and other adults...
Home Health Pro LLC is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healing Hands Home Care LLC is a dedicated home care agency committed to providing compassionate, high-quality care for individuals who need assistance in the comfort of their own homes.
The FirstLight HomeCare difference starts with our Culture of Care. Our culture of care philosophy is the cornerstone of Firstlight Homecare. It comprises the beliefs and values which guide us every day as we serve...
There’s No Place Like Home! You Choose Your Caregiver. You Are In Charge. - Up to 24 hour care - Assistance in Hygiene - Meal Preparation - Light Housekeeping - Errands and Shopping - Joyful Companionship - Low...
Trustiva Health is a privately owned home care company specializing in patient care and advocacy across Oakland, Macomb, and Wayne counties. With over 60 years of combined experience, our compassionate caregivers provide...
Maxwell Home Health Care, Inc is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar® Care of Birmingham, we strive to deliver just the right care for your loved one to be safe and healthy and to be a partner you can turn to for support. BrightStar Care delivers just the right level of care...
Home Care services provided by Right at Home Detroit Metro are a way to meet the needs of seniors and other adults whose capacity for self-care is limited because of a chronic illness; injury; physical, cognitive, or...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Royal Oak or in surrounding areas like Troy, Bloomfield Hills and Grosse Pointe.
Discover personalized and affordable care services at Avalon Essential Home Care in Troy, Michigan. We prioritize understanding your loved ones’ needs to provide quality care with the right caregivers.
At Proactive Home Care, we believe in going beyond basic care. Our compassionate caregivers are dedicated to enhancing the everyday lives of seniors. Whether it’s providing assistance with daily activities or offering...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Barbara Roden opened the Senior Helpers Southeast Michigan office in 2007 because of her passion for helping others and her interest in the growing need for in-home care services. Barbara and her team are committed to...
At FirstLight Home Care of Troy, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have their...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
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Care at Home, Private care LLC provides Non-Medical Private duty with respite care and outstanding Companionship. We are dedicated to provide the best in-home private health care and make your love ones have a healthy...
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One of our advisors will contact you soon to connect you with trusted sources for care in your area.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.